DR. KEVIN THOMAS PETERSEN (NPI# 1356778419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356778419 |
Entity Type | Individual |
Full Name | DR. KEVIN THOMAS PETERSEN |
Credential | D.O. |
Practice Address |
620 John Paul Jones Cir Dept General Portsmouth VA 23708-2197 |
Practice Telephone | 7579532544 |
Enumeration Date | 2013-10-03 |
Last Update Date | 2019-09-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 294233 | NY | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
703 Main St, Paterson, NJ 075032621 | 9737542671 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457655680 | Kevin W Petersen | Marriage & Family Therapist | 1420 S Clarkson St, Denver, CO 80210-2237 | 2011-01-03 |
1255861126 | Kevin Scott Petersen | Physical Therapist | 3160 8th St Sw Ste M&n, Altoona, IA 50009-1023 | 2017-06-14 |
1356676290 | Kevin Leon Petersen | Psychologist | 6439 Garners Ferry Road, Wjbd Va Medical Center, Columbia, SC 29209 | 2009-10-09 |
1578759270 | Kevin Lee Petersen | Counselor | 401 16th St Se, Rochester, MN 55904-7973 | 2007-09-18 |
1851414346 | Kevin E. Petersen | Chiropractor | 29 Lake St S, Big Lake, MN 55309-4588 | 2007-04-09 |
1205971066 | Kevin Petersen | Specialist | 653 N Town Center Dr, Las Vegas, NV 89144-0514 | 2007-02-20 |
Street Address |
620 JOHN PAUL JONES CIR DEPT GENERAL |
City | PORTSMOUTH |
State | VA |
Zip Code | 23708-2197 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
1760003156 | Kylie Miller | Student in an Organized Health Care Education/Training Program | 600 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-27 |
1750900304 | Jonathan David Hickman | Student in an Organized Health Care Education/Training Program | Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 | 2020-04-14 |
1447716550 | Nathan Le Holterman | Student in an Organized Health Care Education/Training Program | Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2019-02-13 |
1467930545 | Jonathan Volland | Dentist | Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 | 2018-08-01 |
1629570171 | Brendan James O'shea | Student in an Organized Health Care Education/Training Program | 690 John Paul Jones Circle, Fpo, AA 23708 | 2018-03-01 |
1467909077 | Patricia Hicks Smith | Nurse Practitioner | 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-09-01 |
1790139392 | Lauren Pitters | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2016-04-20 |
1841683745 | Karrie Anne Brondell Walker | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2015-03-17 |
1962821967 | Jody Manners | Psychiatry & Neurology | 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 | 2014-04-08 |
Find all providers in zip 23708 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811308257 | Samuel L Douglas | Surgery | 620 John Paul Jones Cir Bldg 2, 2nd Floor, Unit C, Portsmouth, VA 23708-2111 | 2014-05-19 |
1457618183 | Lauren Thompson | Surgery | 155 Borthwick Ave Ste 301e, Portsmouth, NH 03801-7156 | 2012-04-19 |
1457642340 | Arthur T Johnson Iv | Surgery | 4633 Mallard Cres, Portsmouth, VA 23703-2240 | 2011-04-26 |
1447319348 | Henry Emerson Butler IIi | Surgery | 533 Elizabeth Pl, Portsmouth, VA 23704-2408 | 2006-12-06 |
1215940481 | Reymond Guzman Pascual | Surgery | 704 London Blvd., Portsmouth, VA 23704 | 2006-08-15 |
1033142021 | Joseph J Lach | Surgery | 1711 27th Street, Braunlin Bldg, Suite 306, Portsmouth, OH 45662-0000 | 2006-07-10 |
1942299565 | Jeffery E Parker | Surgery | 1711 27th St Ste 402, Portsmouth, OH 45662-2669 | 2005-10-17 |
1306838719 | Thomas L Khoury | Surgery | 1711 27th St, Braunlin Bldg, Suite 306, Portsmouth, OH 45662-2638 | 2005-08-22 |
1336147719 | Jeffrey Lynn Riblet | Surgery | 3640 High St, Suite 2f, Portsmouth, VA 23707-3213 | 2005-07-11 |
1023014487 | Bernard J Benedetto | Surgery | 330 Borthwick Ave Ste 308, Portsmouth, NH 03801-7112 | 2005-06-21 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 23708 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.